Journal article
Using a new socioepidemiological questionnaire to analyse associations between intergenerational upward social mobility and body fat distribution: A pilot study with the Oxford BioBank cohort
- Abstract:
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Background:
As measured through body mass index (BMI), obesity is more prevalent among upwardly mobile adults than among adults born into middle-class families. Although BMI reflects general adiposity, health risks are more strongly associated with abdominal adiposity. It is therefore important to investigate associations between upward mobility and fat distribution.
Methods:
A socioepidemiological questionnaire was developed, qualitatively validated and piloted with Oxford BioBank participants. Sex-specific analyses of variance (ANOVA) investigated associations between participant occupational class and adiposity, paternal occupational class and adiposity, and upward occupational mobility and adiposity. The main aim was to observe whether the expected directional effect of adiposity in relation to paternal occupational class would emerge.
Results:
280 participants (166 women, 114 men; age 32–67 years) completed the questionnaire. Men with fathers of occupational class 2 or 3 had higher mean BMI, total body fat percentage, android fat mass and android-to-gynoid fat mass ratio than men with fathers of occupational class 1. Women with fathers of occupational class 2 or 3 had higher mean BMI, total body fat percentage, android fat mass and gynoid fat mass than women with fathers of occupational class 1. Among men, upward mobility was not associated with adiposity. Among women, upward mobility was associated with higher total body fat percentage, android fat mass and gynoid fat mass.
Conclusion:
The expected directional effect was found, thereby supporting the questionnaire’s use. Upward mobility did not appear to change associations between paternal occupational class and participant adiposity. Future research using the socioepidemiological questionnaire should investigate associations between gender, educational mobility, adiposity and health.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
Actions
Access Document
- Files:
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(Preview, Accepted manuscript, 398.1KB, Terms of use)
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- Publisher copy:
- 10.1136/jech-2020-213930
Authors
- Publisher:
- BMJ
- Journal:
- Journal of Epidemiology and Community Health More from this journal
- Volume:
- 74
- Issue:
- 12
- Pages:
- 981-987
- Publication date:
- 2020-09-03
- Acceptance date:
- 2020-04-23
- DOI:
- EISSN:
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1470-2738
- ISSN:
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0143-005X
- Language:
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English
- Keywords:
- Pubs id:
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1118277
- Local pid:
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pubs:1118277
- Deposit date:
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2020-07-10
Terms of use
- Copyright holder:
- Eli et al.
- Copyright date:
- 2020
- Rights statement:
- © Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.
- Notes:
- This is the accepted manuscript version of the article. The final version is available online from BMJ at: https://doi.org/10.1136/jech-2020-213930
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